Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities

Healthcare-associated infections (HAIs) contribute to patient morbidity and mortality with an estimated 1.7 million infections and 99,000 deaths costing USD $28–34 billion annually in the United States alone. There is little understanding as to if current environmental surface disinfection practices...

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Autores principales:	Elizabeth C. Christenson, Ryan Cronk, Helen Atkinson, Aayush Bhatt, Emilio Berdiel, Michelle Cawley, Grace Cho, Collin Knox Coleman, Cailee Harrington, Kylie Heilferty, Don Fejfar, Emily J. Grant, Karen Grigg, Tanmay Joshi, Suniti Mohan, Grace Pelak, Yuhong Shu, Jamie Bartram
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	disinfection healthcare facilities healthcare-associated infections environmental surfaces infection prevention and control Medicine R
Acceso en línea:	https://doaj.org/article/0c749cbb1d9e42d58f46cf9ba6477b91
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spelling	oai:doaj.org-article:0c749cbb1d9e42d58f46cf9ba6477b912021-11-11T16:14:54ZEvidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities10.3390/ijerph1821111001660-46011661-7827https://doaj.org/article/0c749cbb1d9e42d58f46cf9ba6477b912021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11100https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Healthcare-associated infections (HAIs) contribute to patient morbidity and mortality with an estimated 1.7 million infections and 99,000 deaths costing USD $28–34 billion annually in the United States alone. There is little understanding as to if current environmental surface disinfection practices reduce pathogen load, and subsequently HAIs, in critical care settings. This evidence map includes a systematic review on the efficacy of disinfecting environmental surfaces in healthcare facilities. We screened 17,064 abstracts, 635 full texts, and included 181 articles for data extraction and study quality assessment. We reviewed ten disinfectant types and compared disinfectants with respect to study design, outcome organism, and fourteen indictors of study quality. We found important areas for improvement and gaps in the research related to study design, implementation, and analysis. Implementation of disinfection, a determinant of disinfection outcomes, was not measured in most studies and few studies assessed fungi or viruses. Assessing and comparing disinfection efficacy was impeded by study heterogeneity; however, we catalogued the outcomes and results for each disinfection type. We concluded that guidelines for disinfectant use are primarily based on laboratory data rather than a systematic review of in situ disinfection efficacy. It is critically important for practitioners and researchers to consider system-level efficacy and not just the efficacy of the disinfectant.Elizabeth C. ChristensonRyan CronkHelen AtkinsonAayush BhattEmilio BerdielMichelle CawleyGrace ChoCollin Knox ColemanCailee HarringtonKylie HeilfertyDon FejfarEmily J. GrantKaren GriggTanmay JoshiSuniti MohanGrace PelakYuhong ShuJamie BartramMDPI AGarticledisinfectionhealthcare facilitieshealthcare-associated infectionsenvironmental surfacesinfection prevention and controlMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11100, p 11100 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	disinfection healthcare facilities healthcare-associated infections environmental surfaces infection prevention and control Medicine R
spellingShingle	disinfection healthcare facilities healthcare-associated infections environmental surfaces infection prevention and control Medicine R Elizabeth C. Christenson Ryan Cronk Helen Atkinson Aayush Bhatt Emilio Berdiel Michelle Cawley Grace Cho Collin Knox Coleman Cailee Harrington Kylie Heilferty Don Fejfar Emily J. Grant Karen Grigg Tanmay Joshi Suniti Mohan Grace Pelak Yuhong Shu Jamie Bartram Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities
description	Healthcare-associated infections (HAIs) contribute to patient morbidity and mortality with an estimated 1.7 million infections and 99,000 deaths costing USD $28–34 billion annually in the United States alone. There is little understanding as to if current environmental surface disinfection practices reduce pathogen load, and subsequently HAIs, in critical care settings. This evidence map includes a systematic review on the efficacy of disinfecting environmental surfaces in healthcare facilities. We screened 17,064 abstracts, 635 full texts, and included 181 articles for data extraction and study quality assessment. We reviewed ten disinfectant types and compared disinfectants with respect to study design, outcome organism, and fourteen indictors of study quality. We found important areas for improvement and gaps in the research related to study design, implementation, and analysis. Implementation of disinfection, a determinant of disinfection outcomes, was not measured in most studies and few studies assessed fungi or viruses. Assessing and comparing disinfection efficacy was impeded by study heterogeneity; however, we catalogued the outcomes and results for each disinfection type. We concluded that guidelines for disinfectant use are primarily based on laboratory data rather than a systematic review of in situ disinfection efficacy. It is critically important for practitioners and researchers to consider system-level efficacy and not just the efficacy of the disinfectant.
format	article
author	Elizabeth C. Christenson Ryan Cronk Helen Atkinson Aayush Bhatt Emilio Berdiel Michelle Cawley Grace Cho Collin Knox Coleman Cailee Harrington Kylie Heilferty Don Fejfar Emily J. Grant Karen Grigg Tanmay Joshi Suniti Mohan Grace Pelak Yuhong Shu Jamie Bartram
author_facet	Elizabeth C. Christenson Ryan Cronk Helen Atkinson Aayush Bhatt Emilio Berdiel Michelle Cawley Grace Cho Collin Knox Coleman Cailee Harrington Kylie Heilferty Don Fejfar Emily J. Grant Karen Grigg Tanmay Joshi Suniti Mohan Grace Pelak Yuhong Shu Jamie Bartram
author_sort	Elizabeth C. Christenson
title	Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities
title_short	Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities
title_full	Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities
title_fullStr	Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities
title_full_unstemmed	Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities
title_sort	evidence map and systematic review of disinfection efficacy on environmental surfaces in healthcare facilities
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0c749cbb1d9e42d58f46cf9ba6477b91
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Evidence Map and Systematic Review of Disinfection Efficacy on Environmental Surfaces in Healthcare Facilities

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